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    Exam Review

    1. A nurse should include which statement when instructing a client about Transcranial Magnetic Stimulation (TMS).
      A)
      TMS requires anaesthesia prior to administration.
      B)
      TMS requires a muscle relaxing medication prior to administration.
      C)
      TMS requires the patient to lay flat in bed during administration.
      D)
      TMS requires daily treatments for 4 to 6 weeks.
    2. Which prescription written by a health care provider for an eye drop medication is written correctly?
      A)
      One drop od tid.
      B)
      One drop ou daily.
      C)
      One drop right ear bid.
      D)
      One drop left eye daily.
    3. A middle-aged adult client with nausea and vomiting for three days presents to the emergency room Which findings nurse expect to assess in a client diagnosed with dehydration? Select all that apply.
      (SATA)
      A)
      Increased heart rate
      B)
      Decreased blood pressure.
      C)
      Increased temperature
      D)
      Hypoactive muscle responses
      E)
      Alert and oriented
    4. Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?
      A)
      Eyes, ears, lips, and scalp
      B)
      Palms, soles and nails
      C)
      Head, neck and trunk
      D)
      Lower legs and back
    Page 1 of 19

    Exam Review

    1. Your client has anaphylaxis listed as a penicillin allergy, which antibiotic would be safe for your client to receive?
      A)
      cephalexin (Keflex)
      B)
      cefaclor (Ceclor)
      C)
      piperacillin/tazobactam (Zosyn)
      D)
      levofloxacin (Levaquin)
    2. Which response by the client indicates that medication instruction by the RN has been effective?
      A)
      “Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.”
      B)
      “l will urinate less when taking Clozaril, and that is normal."
      C)
      “l will use the Clozaril as needed for delusions and hallucinations."
      D)
      “Clozaril is now available over the counter and in a generic form."
    3. The client states "l can’t go on anymore. Life sucks and the world would be better off without me.' What RN’s best response?
      A)
      “Have you had thoughts about killing yourself?'
      B)
      "What can’t you go on anymore?"
      C)
      'Don’t think like that It's not true!"
      D)
      "Have you talked to your doctor about these feelings?"
    4. The nurse calls the healthcare provider using SBAR communication. Which statement should the nurse make first?
      A)
      "The client status is deteriorating. I feel you should come now."
      B)
      "The client has hypoxemia after 10 minutes on a rebreather mask."
      C)
      'The Pa02 is 55, PaC02 is 90. HC03 is 26
      D)
      "The client has a history of chronic obstructive pulmonary disease and admitted with pneumonia.'
    Page 2 of 19

    Exam Review

    1. A nurse who serves on an infection control committee is assessing the adequacy of environmental control against infections. What does the nurse know to be the first line of defense in medical asepsis?
      A)
      Isolation or barrier procedures
      B)
      Standard precautions.
      C)
      Hand hygiene techniques.
      D)
      Routine cleaning of client rooms.
    2. A nurse is receiving a client from the post anesthesia unit after a colon resection. What is the first observation the nurse should preform:
      A)
      The client’s wound dressing is dry.
      B)
      The client is awake and oriented.
      C)
      The client is breathing.
      D)
      The client’s foley catheter is draining.
    3. The nurse is assessing a client experiencing acute pain. What assessments should validate the client with acute pain? (Select all that apply)
      A)
      Restlessness
      B)
      Dilated pupils
      C)
      Constricted pupils
      D)
      Diaphoretic skin
      E)
      Increased respirations
    4. The nurse is educating a client with insomnia on how to promote better sleep. Which interventions should she include for this client? (Select all that apply)
      A)
      Enjoy a glass of wine before bed.
      B)
      Do not exercise at least one hour prior to sleep.
      C)
      Go to bed at the same time every evening.
      D)
      Read a book 30 minutes before bedtime.
      E)
      Do not take naps during the day.
    Page 3 of 19

    Exam Review

    1. A nurse is performing a health history. What communication techniques should the nurse use? Select all
      A)
      that apply.
      B)
      Avoid silence so the client won’t feel anxious.
      C)
      Clarifying points made by the patient that are unclear.
      D)
      Listening attentively while speaking slowly and clearly
      E)
      Sitting approximately two feet away from the client.
    2. A client is to receive medications that are highly teratogenic. What question should the nurse ask the client to support safe medication administration?
      A)
      "Do any of your family members have cancer?"
      B)
      "Is there any possibility that you may be pregnant?'
      C)
      "Have you ever experienced severe side effects from a drug?
      D)
      "Are you allergic to any prescription or non-prescription drugs?"
    3. A nurse is assessing a client with pain. What is the best question for the nurse to ask the client about the quality of pain?
      A)
      "Tell me how you rate your pain on a 0-10 scale."
      B)
      "Tell me what your pain feels like."
      C)
      "What events seemed to cause your pain?
      D)
      "Would you describe your pain as aching?'
    4. Which assessment finding is suggestive of an adaptive coping strategy in an individual?
      A)
      The client consumes 3 glasses of wine after a stressful day at work.
      B)
      The client practices meditation for 20 minutes once a day.
      C)
      The client keeps all unresolved conflict to themselves.
      D)
      The client consumes a half gallon of ice cream after an argument with a coworker.
    Page 4 of 19

    Exam Review

    1. When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which finding:
      A)
      High self-esteem
      B)
      Antisocial personality traits
      C)
      Good communication skills
      D)
      Aggressive behaviors
    2. Which action is essential when assessing drainage in a client with a large abdominal wound?
      A)
      Feel the top of the client's legs.
      B)
      Examine area underneath the client.
      C)
      Ask the client to cough forcefully.
      D)
      Have the client sit up and lean forward.
    3. A son brings his elderly mother to the emergency department and states that she fell today. The nurse notes multiple bruises in all stages of healing all over the client’s body. Which action should the nurse take first?
      A)
      Provide an elder abuse brochure and teach the client.
      B)
      Interview the client privately and ask if anyone is harming her.
      C)
      Observe the interaction between the mother and the son throughout stay.
      D)
      Immediately report suspicions of abuse to the state adult protective services.
    4. Which electrolyte imbalance should a nurse expect to assess in a client who reports diarrhea for the past three days?
      A)
      Hypokalemia.
      B)
      Hypocalcemia.
      C)
      Hyponatremia.
      D)
      Hypochloremia.
      E)
      Hypochloremia.
    Page 5 of 19

    Exam Review

    1. A client is admitted to the intensive care unit with diabetic ketoacidosis (DKA). Which of these assessment findings would the nurse expect to find with the client? Select all that apply.
      A)
      Urine pH = 6.2.
      B)
      Potassium = 5.7.
      C)
      Arterial blood pH = 7.49.
      D)
      Kussmaul respirations.
      E)
      Decreased level of consciousness.
    2. A young woman arrives to the Emergency Department and reports that she was raped and stabbed. What should the nurse do first?
      A)
      Call the Sexual Nurse Examiner.
      B)
      Assess vital signs.
      C)
      Call her parents to ask for permission to treat.
      D)
      Contact Security in case the perpetrator arrives.
    3. A client is diagnosed with hepatitis C. Which client risk factor would be most related to this diagnosis?
      A)
      Drinking contaminated water.
      B)
      Eating raw chicken.
      C)
      IV drug use.
      D)
      Unprotected intercourse.
    4. Which finding is expected in a client who has a fluid volume deficit?
      A)
      Dry mucous membranes
      B)
      Periorbital edema.
      C)
      Neck vein distention.
      D)
      Bounding pedal pulses.
    Page 6 of 19